Evaluation of Tumor Markers in Asthma Patients

Background: Although tumor markers have been used as biomarkers for monitoring response to therapy and detecting early relapse in malignancies, it is well known that most tumor marker increases are not specific enough to be used for diagnosis of cancer. Aim: The aim of this study was to investigate the serum concentrations of a -fetoprotein (AFP), carcinoembryonic antigen (CEA), cancer antigen (CA) 19-9, CA 125, CA 15-3 and IgE in asthma patients. Materials and Methods: Thirty-five newly diagnosed asthmatic patients and 14 healthy subjects were included into the study. Blood samples were drawn from antecubital vein of asthma patients and control subjects. Serum AFP, CEA, CA 125, CA 15-3 and CA 19-9 levels were determined by chemiluminescent and IgE levels by electrochemiluminescent immunometric method on automatic hormone analyzers. Results: Serum levels of AFP, CEA, CA 19-9, CA 125, and CA 15-3 of asthma patients were not significantly different when compared with the control group. In asthma patients, there was a significant negative correlation between serum IgE and CA 125 (r = -0.401; p = 0.017) and a positive correlation between CA 125 and CA 15-3 (r = 0.368; p = 0.029). Conclusions: We concluded that in asthma patients' sera, AFP, CEA, CA 125, CA 19-9 and CA 15-3 levels were not different from control subjects. Elevation in any of these tumor markers in asthma patients should be a sign for clinicians to evaluate patients for additional diseases.
Anahtar Kelimeler:

Asthma, AFP, CA 125, CA 15-3, CA 19-9, CEA

Evaluation of Tumor Markers in Asthma Patients

Background: Although tumor markers have been used as biomarkers for monitoring response to therapy and detecting early relapse in malignancies, it is well known that most tumor marker increases are not specific enough to be used for diagnosis of cancer. Aim: The aim of this study was to investigate the serum concentrations of a -fetoprotein (AFP), carcinoembryonic antigen (CEA), cancer antigen (CA) 19-9, CA 125, CA 15-3 and IgE in asthma patients. Materials and Methods: Thirty-five newly diagnosed asthmatic patients and 14 healthy subjects were included into the study. Blood samples were drawn from antecubital vein of asthma patients and control subjects. Serum AFP, CEA, CA 125, CA 15-3 and CA 19-9 levels were determined by chemiluminescent and IgE levels by electrochemiluminescent immunometric method on automatic hormone analyzers. Results: Serum levels of AFP, CEA, CA 19-9, CA 125, and CA 15-3 of asthma patients were not significantly different when compared with the control group. In asthma patients, there was a significant negative correlation between serum IgE and CA 125 (r = -0.401; p = 0.017) and a positive correlation between CA 125 and CA 15-3 (r = 0.368; p = 0.029). Conclusions: We concluded that in asthma patients' sera, AFP, CEA, CA 125, CA 19-9 and CA 15-3 levels were not different from control subjects. Elevation in any of these tumor markers in asthma patients should be a sign for clinicians to evaluate patients for additional diseases.

___

  • 1. Chan DW, Booth RA. Tumor markers. In: Burtis CA, Ashwood ER, Bruns DE, editors. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 4th ed. Missouri: Elsevier Saunders Inc; 2006. p.745-795.
  • 2. Bast RC Jr, Xu FJ, Yu YH, Barnhill S, Zhang Z, Mills GB. CA 125: the past and the future. Int J Biol Markers 1988; 13: 179-187.
  • 3. Steinberg W. The clinical utility of the CA 19-9 tumor-associated antigen. Am J Gastroenterol 1990; 85: 350-355.
  • 4. Montefort S, Roberts JA, Beasley R, Holgate ST, Roche WR. The site of disruption of the bronchial epithelium in asthmatic and non-asthmatic subjects. Thorax 1992; 47: 499-503.
  • 5. Davis DE. The bronchial epithelium. Translating gene and environment interactions in asthma. Curr Opin Allergy Clin Immunol 2001; 1: 67-71.
  • 6. Global Strategy for Asthma Management and Prevention. NIH Publication GINA Workshop Report. Available from: URL: http:// www.ginasthma.org
  • 7. Rubin H. The significance of biological heterogeneity. Cancer Metastasis Rev 1990; 9: 1-20.
  • 8. Pritzker KPH. Cancer biomarkers: easier said than done. Clin Chem 2002; 48: 1147-1150.
  • 9. Brewster CE, Howarth PH, Djukanovic R, Wilson J, Holgate ST, Roche WR. Myofibroblasts and subepithelial fibrosis in bronchial asthma. Am J Respir Cell Mol Biol 1990; 3: 507-511.
  • 10. Stevens DP, Mackay IR. Increased carcinoembryonic antigens in heavy cigarette smokers. Lancet 1973; 2: 1238-1239.
  • 11. Beaudonnet A, Gounon G, Pichot J, Revenant MC. Sex- and agerelated influences on carcinoembryonic antigen in blood. Clin Chem 1981; 27: 771.
  • 12. Touitou Y, Proust J, Klinger E, Nakache JP, Huard D, Sachet A. Cumulative effects of age and pathology on plasma carcinoembryonic antigen in an unselected elderly population. Eur J Cancer Clin Oncol 1984; 20: 369-374.
  • 13. Sanguinetti CM, Riccioni G, Marchesani F, Pela R, Cecarini L. Bronchoalveolar lavage fluid level of carcinoembryonic antigen in the diagnosis of peripheral lung cancer. Monaldi Arch Chest Dis 1995; 50: 177-182.
  • 14. Maeda Y, Hizawa N, Fukui Y, Nagai K, Kikuchi E, Takahashi D et al. Concentrations of carcinoembryonic antigen in serum and bronchoalveolar lavage fluid of asthmatic patients with mucoid impaction. Nihon Kokyuki Gakkai Zasshi 2004; 42: 988-993.
  • 15. Takayama S, Kataoka N, Usui Y, Inase N, Natori Y, Nakayama M et al. CA 19-9 in patients with benign pulmonary diseases. Nihon Kyobu Shikkan Gakkai Zasshi 1990; 28: 1326-1331.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: 6
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Diagnosis of Lafora Body Disease by Axillary Skin Biopsy

Şenay ÖZBAKIR, Selçuk ÇOMOĞLU, Emel PEŞİNCİ

A Selective Ideational Apraxic Agraphia for Consonants

Serpil DEMİRCİ

A True Aneurysm of the Profunda Femoris Artery: A Case Report and the Review of the Literature

Ali ER, Mutlu SAĞLAM, Sıtkı GÜLHAN, Ramazan ALBAYRAK, Bumin DEĞİRMENCİ, Erol BOZDOĞAN, Çağrı ŞENYÜCEL

Do adjuncts (Tramadol and Magnesium) potentiate impulse inhibition by a local anaesthetic in isolated frog siatic nerves?

Sevgi GÜNEŞ, Nurcan DORUK, Handan ÇAMDEVİREN, Ülkü ÇÖMELEKOĞLU, Belgin BÜYÜKAKILLI

Guillain-Barré Syndrome and Hepatitis A (Selçuk ÇOMOĞLU, Mustafa Cesur. Turk J Med Sci 2006; 36(3): 185-186)

Şinasi ÖZSOYLU MD, Selçuk ÇOMOLU MD, Mustafa CESUR MD

Gastrointestinal Basidiobolomycosis as a Rare Etiology of Bowel Obstruction

Alireza FAHIMZAD, Abdollah KARIMI, Sedigheh Rafiee TABATABAEI, Mahbubeh Gerami ZADEH

In-Vitro Effect of Phthalate Esters on Retinal Aldolase

Syed Nasir ASKARI, Meena ZAIDI, Nafees AHMAD

The Status of Trace and Toxic Elements in Biological Samples (Scalp Hair) of Skin-Disease Patients and Normal Subjects

Hassan Imran AFRIDI, Mohammad Khan JAMALI, Gul Hassan KAZI, Ghulam Quadr SHAR, Tasneem Gul KAZI

Evaluation of Tumor Markers in Asthma Patients

Öner BALBAY, Ali Nihat ANNAKKAYA, Cahit BİLGİN, Özlem YAVUZ, İsmet BULUT, Emel KURT, Abdurrahman COŞKUN, Ramazan MEMİŞOĞULLARI

Early Onset Stroke Due To Fibromuscular Dysplasia in a Child

Selçuk ÇOMOĞLU, Yavuz GÜNER